OT session - no feedback

[Anonymous]

Anonymous wrote:

Anonymous wrote:There should be articulated short and medium term goals, an understanding of what is being done to work toward those goals and a report after every session. And then periodic goal check ins and resetting. IMO i would also show up and watch these sessions every once and a while too. You have every right to feel off about it.

Op should pay for an hour of time every session then. And/or the provider should price her 45 min sessions as an hour. But op said she already felt like it was a lot of money for these sessions, so that might not fly. But no one should expect the provider to work for free.

Most providers take a few minutes to talk to parents each session with what they did and what they can do at home. There is no diagnosis and it was recommended by the school using their ot. This is a money grab.

[Anonymous]

I am a private SLP who sees students at private schools. I just email my treatment note every week (I already have to write it- takes 2 seconds to email) and then I do a quarterly 15 minute phone call free of charge. If the parent wants an in person meeting or a call longer than 15 min, I charge my hourly rate. Many parents do this and find it valuable.

To the poster who said we are underpaid- thank you! We are! It is my passion and my life's work to be an SLP, but my friends who have coorporate jobs easily make 3-5 times what I make a year. (I have one friend whose annual bonus is my annual salary lol). We are not trying to money grab but we do want to be paid for our time. We are masters level professionals with hours of academic and clinical work under out belts. An attorney charges for every minute of their time...

[Anonymous]

Anonymous wrote:I pay for private OT for my daughter who pushes into the school setting. She always provides me with a short summary of the session via text immediately upon its completion along with a brief explanation of why they worked on the specific skill, and a note of what to work on at home this week. We pay $125 for a 30 min session every week, and I don’t think it’s unreasonable to expect for a short summary like this!

Is this a typical rate for OT services? Where are you located?

[Anonymous]

OP here, after 15 sessions in the past 5 months, we only heard from the private practice provider 3 times, each with 2 paragraph text. Since we just got a spot at outside reputable OT provider, who is in-network for our insurance, after being on their waitlist for several months, we decided to transition.

Instead of 1 hour meeting ($150), we requested a written report summarizing what he's been working on, what the progress has been, what would be recommended areas to continue working on etc. Just a quick one-page summary to share with a new provider.

In response to our request, she said re-evaluation can be done ($800) with a separate progress report ($400).

we don't need re-evaluation, we just need simple progress report, a summary of what has been done and observed. How can I counter-argue?

I am frustrated after spending $2500 out of pocket, all we get is 3 short emails, each of which literally takes 5 minutes to write.

Does anyone have similar experience? or any advice?

[Anonymous]

Can you request a copy of the medical file? Clinical notes, assessments, etc? The only fee they can reasonably charge would be copying/mailing

[Anonymous]

Ugh - this sounds like a provider we had. Def do what PP said and request copy of records. That should be at most like $50

[Anonymous]

Anonymous wrote:If this is a private OT, yes they should do much better in communicating. It's ridiculous to charge for an a simple phone call update, especially when they aren't sending home weekly communications.

Yes. Or a note (short, simple) to parents.

[Anonymous]

Anonymous wrote:OP here, after 15 sessions in the past 5 months, we only heard from the private practice provider 3 times, each with 2 paragraph text. Since we just got a spot at outside reputable OT provider, who is in-network for our insurance, after being on their waitlist for several months, we decided to transition.

Instead of 1 hour meeting ($150), we requested a written report summarizing what he's been working on, what the progress has been, what would be recommended areas to continue working on etc. Just a quick one-page summary to share with a new provider.

In response to our request, she said re-evaluation can be done ($800) with a separate progress report ($400).

we don't need re-evaluation, we just need simple progress report, a summary of what has been done and observed. How can I counter-argue?

I am frustrated after spending $2500 out of pocket, all we get is 3 short emails, each of which literally takes 5 minutes to write.

Does anyone have similar experience? or any advice?

OP Find someone else/go private. Your child should also be getting things to work on at home each week as part of the summary. 45 minutes once a week is not enough to make any progress. Even doing the “homework“ OT is extremely slow. Cumulatively, it can make a difference and did for us – – we did it for three years, but it felt very slow and very incremental

[Anonymous]

OP, we did OT out of school at a private venue. OT would come out with 10 min. in the "hour session" that we were paying for, transition kid to us or grandparents, and then give a, "see you next week KID NAME." No brief update or anything. When we asks a few weeks in, how is he doing, we received the same "make an appointment for “consultation” with additional hourly fee." Felt like a money grab for sure. I don't need another consultation. You come out 10 min. early, come out 12 min. early instead and give me the 2-minute update of progress. Looking back, other than the holding a crayon, then pencil and writing practice, not sure how much if any the years of OT helped.

[Anonymous]

Anonymous wrote:I don’t hear from 5 yo son’s (Public school) ot except for at p/t conferences and IEP meetings. I do know she has chatted with our private OT a few times to talk about accommodations for the classroom and just how to support him generally. When we go for weekly private OT, the OT always spends the last 10 minutes of the session showing what she and my son are working on and how to support him at home. She will text or email me briefly if needed to finish reviewing his session. It would be hard to know what they were accomplishing without feedback. Like yours, my son does not provide a lot of info

Do you not get quarterly progress reports?

[Anonymous]

Anonymous wrote:I pay for private OT for my daughter who pushes into the school setting. She always provides me with a short summary of the session via text immediately upon its completion along with a brief explanation of why they worked on the specific skill, and a note of what to work on at home this week. [b]We pay $125 for a 30 min session every week, [b]and I don’t think it’s unreasonable to expect for a short summary like this!

Wow this is super expensive for someone who doesn’t have to pay overhead for a clinic. So she’s 250 per hr? Is that what the going rate is?? Good luck finding someone in network. They hardly exist !

[Anonymous]

Anonymous wrote:Our son has ADHD and receives weekly OT session (45 min) on campus. He goes to a private school and this is provided by an independent OT who comes to campus. We have to cover the cost on top of tuition, which quickly adds up.

We don't expect it after every session, but is it normal that there is absolutely no feedback coming from OT? After a month or two, I'd like to hear a summary of what areas he is working on, progress he is making, something we can incorporate at home, or just "something" especially considering how much we are paying. The only thing we hear from her is an automatic weekly SMS for credit card payment confirmation.

When we finally asked for some updates, we were told to make an appointment for “consultation” with additional hourly fee. This is the OT who did “full” OT evaluation for $1k, and it was silly of us to assume that an hour of consultation to discuss key findings was included in the fee, not to mention the report even had our son’s name wrong.

Our 5 yo son cannot tell us much about his school life in general, but recently he kept telling us that the main OT did not come, but his session was with another lady, who is a fresh out of college young lady or other times with recently hired intern.

Is it rude to ask the qualifications of these two ladies? And/or reduced rate?
After finding an in-network OT provider, we suggested to the school we may want to go with them, the school staff clearly seemed bothered and insinuated that it’s best to stay with the OT on campus for seamlessly integrated environments.

I’d hate to say this but something feels off, like some sort of collusion with some kick back, or something. Do I sound crazy?

Ask for a compilation of treatment notes. On a monthly or weekly basis.

[Anonymous]

Anonymous wrote:OP here, after 15 sessions in the past 5 months, we only heard from the private practice provider 3 times, each with 2 paragraph text. Since we just got a spot at outside reputable OT provider, who is in-network for our insurance, after being on their waitlist for several months, we decided to transition.

Instead of 1 hour meeting ($150), we requested a written report summarizing what he's been working on, what the progress has been, what would be recommended areas to continue working on etc. Just a quick one-page summary to share with a new provider.

In response to our request, she said re-evaluation can be done ($800) with a separate progress report ($400).

we don't need re-evaluation, we just need simple progress report, a summary of what has been done and observed. How can I counter-argue?

I am frustrated after spending $2500 out of pocket, all we get is 3 short emails, each of which literally takes 5 minutes to write.

Does anyone have similar experience? or any advice?

The problem with OT is they don’t take regular notes, regular data, regular anything. They might jot something down quickly to cover insurance but it’s not a data driven profession. They only know if it’s working by doing an eval. Pick a better type of provider if you want more info- OT isn’t it.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP here, after 15 sessions in the past 5 months, we only heard from the private practice provider 3 times, each with 2 paragraph text. Since we just got a spot at outside reputable OT provider, who is in-network for our insurance, after being on their waitlist for several months, we decided to transition.

Instead of 1 hour meeting ($150), we requested a written report summarizing what he's been working on, what the progress has been, what would be recommended areas to continue working on etc. Just a quick one-page summary to share with a new provider.

In response to our request, she said re-evaluation can be done ($800) with a separate progress report ($400).

we don't need re-evaluation, we just need simple progress report, a summary of what has been done and observed. How can I counter-argue?

I am frustrated after spending $2500 out of pocket, all we get is 3 short emails, each of which literally takes 5 minutes to write.

Does anyone have similar experience? or any advice?

The problem with OT is they don’t take regular notes, regular data, regular anything. They might jot something down quickly to cover insurance but it’s not a data driven profession. They only know if it’s working by doing an eval. Pick a better type of provider if you want more info- OT isn’t it.

This is not true. The therapist sets measurable goals based on the evaluation needs and each session’s bot should reflect working on those goals and how the kid did on his trials